[Trends in compulsory admissions and care in the period 2003-2023 in the Netherlands].

Q4 Medicine Tijdschrift voor psychiatrie Pub Date : 2024-01-01

E O Noorthoorn, S Gemsa, J Broer, P Lepping, J Nuijen, G J M Hutschemaekers

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Abstract

Background: Coercion in Dutch mental health care has continuously increased since the Special Admissions to Psychiatric Hospitals Act (Bopz) came into force in 1994. With the introduction of the Conditional Authorization in 2004, the increase in involuntary admissions was slowed down and outpatient compulsory treatment increased. The new Compulsory Mental Healthcare Act in the Netherlands (Wvggz) has been in force since 2020 and aims to reduce involuntary admissions.

Aim: Description of trends in compulsory mental healthcare based on decisions under the BOPZ and its successors, the Wvggz and the Care and Compulsion Act (Wzd).

Method: Annual data 2003-2023 from the national Council for the Judiciary (Rvdr) on authorizations (legal detentions) were analysed with linear regression.

Results: The Rvdr-data show a steady increase of compulsory admissions until 2020. From 2020 onwards, the trend appears to have been halted.

Conclusion: The Rvdr data show an interruption of the previously observed increasing trend. The actual number of involuntary admissions unknown due to al lack of a national register.

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[荷兰 2003-2023 年强制入院和护理趋势]。

背景：自 1994 年《精神病院特别收治法》（Bopz）生效以来，荷兰精神卫生保健中的强制手段不断增加。随着 2004 年《有条件授权》的引入，非自愿入院的增长速度有所放缓，而门诊强制治疗则有所增加。新的《荷兰强制精神医疗法》（Wvggz）已于 2020 年生效，旨在减少非自愿入院的情况。目的：根据《荷兰医院法》（Bopz）及其后继者《荷兰强制精神医疗法》（Wvggz）和《护理与强制法》（Wzd）的决定，描述强制精神医疗的趋势：方法：对国家司法委员会（Rvdr）2003-2023 年有关授权（合法拘留）的年度数据进行线性回归分析：结果：Rvdr 的数据显示，在 2020 年之前，强制收监人数一直在稳步增长。从 2020 年起，这一趋势似乎已经停止：Rvdr 数据显示，之前观察到的增长趋势已经中断。由于缺乏全国登记册，非自愿入院的实际人数不详。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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